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A 46 year old man presented with general fatigue and abdominal discomfort. He had a surgical history of ileal perforation at the age of 40 years. His family history was unremarkable. On examination, there was no tenderness on palpation of the abdomen with increased bowel sounds. Laboratory values were as follows: leucocytes 7.1×109/l; haemoglobin 10.5 g/dl; and albumin 3.0 g/dl. Upper gastrointestinal endoscopy after spraying with a solution of indigo carmine dye showed swollen longitudinal folds transversed by linear furrows like “bamboo trees” on the lesser curvature of the gastric body (fig 1). Helicobacter pylori was negative.
What characteristic structure will be shown in the biopsies? What is the diagnosis?
See page 1631 for answer
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